ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops to treat glaucoma. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Pressing gently near the tear ducts (nasolacrimal occlusion) prevents systemic absorption of betaxolol. Closing eyes for 5 minutes, tilting the head forward, or expecting blurred vision are not correct.
Question 2 of 5
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing neurological assessments monitors for end-organ damage in a hypertensive crisis. Dopamine, lactated Ringer's, and supine positioning are not appropriate.
Question 3 of 5
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Correct Answer: D
Rationale: Monitoring weight changes is the priority in heart failure to detect fluid retention early, as sudden weight gain indicates worsening condition. Exercise, sodium, and fluid intake are important but secondary.
Question 4 of 5
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Applying new gloves between wound care sites prevents cross-contamination and infection, critical in burn care. Weekly equipment cleaning, fresh produce diets, and limiting child visits are not specific interventions.
Question 5 of 5
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
Correct Answer: C
Rationale: A platelet count of 70,000/mm indicates thrombocytopenia, increasing bleeding risk, and is the priority to report. Ascites, clay-colored stools, and elevated alkaline phosphatase are concerning but less urgent.